Derrick Weison Su
COMPASSIONATE CANCER CARE MEDICAL GROUP, INC.


Address: 4500 Brockton Ave, Suite 107, Riverside, CA 92501-4006
Phone: 9512762760

Derrick Weison Su (NPI# 1740569789, PAC ID# 2365713062) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.

Physician Overview

Nation Provider ID (NPI) 1740569789
PAC ID by PECOS 2365713062
Professional Enrollment ID I20170728002125
Full Name Derrick Weison Su
Organization Legal Name COMPASSIONATE CANCER CARE MEDICAL GROUP, INC.
Address 4500 Brockton Ave
Suite 107
Riverside
CA 92501-4006
Phone Number 9512762760
Gender M
Medical School BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2011
Primary Specialty HEMATOLOGY/ONCOLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 0941285399
Number of Group Practice Members 9
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050678 ORANGE COAST MEMORIAL MEDICAL CENTER
050570 FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER

Other Locations

Address Phone Organization
11180 Warner Ave, Suite 351, Fountain Valley, CA 92708-7516 7146980300 COMPASSIONATE CANCER CARE MEDICAL GROUP, INC.
4500 Brockton Ave, Suite 107, Riverside, CA 92501-4006 9512762760 COMPASSIONATE CANCER CARE MEDICAL GROUP, INC.

Organization Information

Organization Legal Name COMPASSIONATE CANCER CARE MEDICAL GROUP, INC.
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
Evangeline A Reyes Internal Medicine Compassionate Cancer Care Medical Group, Inc. 4500 Brockton Ave, Suite 107, Riverside, CA 92501-4006
Rehana S Baqai Hematology/oncology Compassionate Cancer Care Medical Group, Inc. 4500 Brockton Ave, Suite 107, Riverside, CA 92501-4006
Anas Raowas Hematology/oncology Compassionate Cancer Care Medical Group, Inc. 4500 Brockton Ave, Suite 107, Riverside, CA 92501-4006
Brian S Choi Hematology/oncology Compassionate Cancer Care Medical Group, Inc. 4500 Brockton Ave, Suite 107, Riverside, CA 92501-4006
Haresh S Jhangiani Hematology/oncology Compassionate Cancer Care Medical Group, Inc. 11180 Warner Ave, Suite 351, Fountain Valley, CA 92708-7516
Peyman Salimi-tari Hematology/oncology Compassionate Cancer Care Medical Group, Inc. 11180 Warner Ave, Suite 351, Fountain Valley, CA 92708-7516
Steven Siwei Yu Hematology/oncology Compassionate Cancer Care Medical Group, Inc. 4500 Brockton Ave, Suite 107, Riverside, CA 92501-4006
Janet Pan Hematology/oncology Compassionate Cancer Care Medical Group, Inc. 11180 Warner Ave, Suite 351, Fountain Valley, CA 92708-7516

Office Location

Street Address 4500 BROCKTON AVE
SUITE 107
City RIVERSIDE
State CA
Zip 92501-4006

Physicians in the same location

Name Specialty Organization Address
Johnny J Suh Diagnostic Radiology Riverside Radiology Medical Group Inc 4500 Brockton Ave, Suite 219, Riverside, CA 92501-4027
Brian R Collins Cardiovascular Disease (cardiology) Blackstone Medical Corporation 4500 Brockton Ave, Suite 305, Riverside, CA 92501-4027
Georges Milad Abou Rjaili Cardiovascular Disease (cardiology) Malcolm S Pond Md Inc and Chiayu Chen Md Ptr Cardiology Associates 4500 Brockton Ave, Suite 203, Riverside, CA 92501-4006
Ali Baghian Hematology/oncology Richy Agajanian M D A Professional Corporation 4500 Brockton Ave, Suite 316, Riverside, CA 92501-4090
Catherine A Fontecha General Surgery Magnolia Acute Trauma, A Medical Corporation 4500 Brockton Ave, Suite 319, Riverside, CA 92501-4027
Ahmad Moutaz Alturjuman Cardiovascular Disease (cardiology) Blackstone Medical Corporation 4500 Brockton Ave, Suite 305, Riverside, CA 92501-4027
Evangeline A Reyes Internal Medicine Compassionate Cancer Care Medical Group, Inc. 4500 Brockton Ave, Suite 107, Riverside, CA 92501-4006
Rehana S Baqai Hematology/oncology Compassionate Cancer Care Medical Group, Inc. 4500 Brockton Ave, Suite 107, Riverside, CA 92501-4006
Sy Tsi Urology Mission Urology Inc 4500 Brockton Ave, Suite 301, Riverside, CA 92501-4027
Afshin Rashtian Radiation Oncology 4500 Brockton Ave, Suite 101, Riverside, CA 92501-4027
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Physicians in the same zip code

Name Specialty Organization Address
Omar Saleh Diagnostic Radiology Nephrology Associates Medical Group Inc 4100 Latham St, A, Riverside, CA 92501-1733
Paul T Huynh Nephrology Nephrology Associates Medical Group Inc 4100 Latham St, A, Riverside, CA 92501-1733
Anthony D Becker Diagnostic Radiology Nephrology Associates Medical Group Inc 4100 Latham St, A, Riverside, CA 92501-1733
Yogesh Patel Nephrology Nephrology Associates Medical Group Inc 4100 Latham St, A, Riverside, CA 92501-1733
Christina Pantazopoulos Orthopedic Surgery Orthopaedic Medical Group of Riverside, Inc. 4354 Latham St, Suite 100, Riverside, CA 92501-1777
Bryant C Leung Physical Medicine and Rehabilitation Orthopaedic Medical Group of Riverside, Inc. 4354 Latham St, Suite 100, Riverside, CA 92501-1777
Gurvinder S Uppal Orthopedic Surgery Orthopaedic Medical Group of Riverside, Inc. 4354 Latham St, Suite 100, Riverside, CA 92501-1777
Brian T Yost Orthopedic Surgery Orthopaedic Medical Group of Riverside, Inc. 4354 Latham St, Suite 100, Riverside, CA 92501-1777
John Gonzalez Orthopedic Surgery Orthopaedic Medical Group of Riverside, Inc. 4354 Latham St, Suite 100, Riverside, CA 92501-1777
Donald Kim Orthopedic Surgery Orthopaedic Medical Group of Riverside, Inc. 4354 Latham St, Suite 100, Riverside, CA 92501-1777
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Competitor

Search similar physicians

City RIVERSIDE
Zip Code 92501
Specialty HEMATOLOGY/ONCOLOGY
City + Specialty RIVERSIDE + HEMATOLOGY/ONCOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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